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W S U (Winona State University)

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The W S U (Winona State University) form is 3 pages long and contains:

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23 check-boxes
55 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Winona State University

BROWSE WINONA STATE UNIVERSITY FORMS

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Date ____________________________ ID # ________________________

Name ______________________________________________________________________________________________

Local Address: Permanent Address:

_____________________________________________ _________________________________________________

Local or Cell Phone _____________________________ Permanent Phone __________________________________

Email address ________________________________________________________________________________________

University Classification (check one) Freshman Sophomore Junior Senior Other

How long have you attended WSU?_____________ Cumulative G.P.A. __________

Minimum G.P.A. of 2.50 for employment

Academic Major __________________ Academic Minor ________________ Expected Date of graduation ____________

What is your employment status? Work Study Student Help

Have you ever served in the Military Services? Yes No

If yes, what branch and for how long?______________________________________________________________

Have you ever been convicted of a crime as an adult excluding minor traffic offenses? Yes No

If yes, what kind and why?

___________________________________________________________________________________________________

Have you been disciplined for conduct within the Residence Halls and/or by the Campus Judicial Officer? Yes No

If yes, for what reason: __________________________________________________________________________

Do you plan to be away from campus for any semester during the academic year? Yes No

If yes, which semester? __________________________________________________________________________

Will you be student teaching or interning during the next academic year? Yes No

If yes, when?

___________________________________________________________________________________________________

If you should be hired, will you have any other jobs during the academic year? Yes No

Have you ever been employed by Winona State University? Yes No

If yes, which department(s) were you employed by ____________________________________________________

W S U

P a r k i n g S e r v i c e s

S t u d e n t E m p l o y e e A p p l i c a t i o n

WSU Parking Services Page 1 of 3

Phone: 507-457-5062

Fax: 507-457-2371

Email: ssmidt@vax2.winona.msus.edu

Please list any training, seminars or certifications that may be beneficial in considering your application for employment with WSU

Parking Services (I.e. first aid, self defense, domestic abuse, etc.) Additionally, list the dates of certification.

_______________________________________________________________________ Date____________________

If you are accepted to a position with WSU Parking Services would you be able to attend training the week prior to the school year?

(check one) Yes No

Please answer these questions as completely as possible.

1. Why are you interested in becoming a member of WSU Parking Services?

_______________________________________________________________________________________________________

2. What qualities do you have that would enable you to handle the position?

_______________________________________________________________________________________________________

3. What do you feel are the duties and responsibilities of this position?

_______________________________________________________________________________________________________

4. List all University activities and indicate all positions of responsibility.

_______________________________________________________________________________________________________

WSU Parking Services Page 2 of 3

Phone: 507-457-5062

Fax: 507-457-2371

Email: ssmidt@vax2.winona.msus.edu

Please list two job references, beginning with the most recent.

1. Name of business___________________________________________ Dates of employment_______________________

Address___________________________________________________

_________________________________________________________

Phone Number _____________________________________________

Name of Supervisor __________________________________________________________________________________

2. Name of business_________________________________________ Dates of employment_______________________

Address___________________________________________________

_________________________________________________________

Phone Number ____________________________________________

Name of Supervisor __________________________________________________________________________________

Please list two personal references.

1. Name __________________________________________________

Address ________________________________________________

________________________________________________________

Phone Number ____________________________________________

How long have you known this person? _________________________

2. Name __________________________________________________

Address ________________________________________________

________________________________________________________

Phone Number ____________________________________________

How long have you known this person? _________________________

I authorize the coordinator of WSU Parking Services to check my class standing, grades and employment records. I hereby

authorize anyone having such records to release them to the coordinator of WSU Parking Services. I also understand that any false

or misleading statement that I make on this application shall be cause for my application to be withdrawn from consideration for

employment. Additionally, if eventually hired and it is determined that any statement contained within this application is found to

be false or misleading can result in my immediate termination.

Signed_______________________________________________________________ Date__________________________

Please return to: For more information:

Parking Services Web site: www.winona.edu/parking

WSU Maxwell 233 E-mail: parking@winona.edu

Winona, MN 55987 Phone: (507) 457-5062

WSU Parking Services Page 3 of 3

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W S U (Winona State University)

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Completed 25 July 2020

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